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Nursing management of the pregnant psychotic patient during labor and delivery
1Psychiatric Unit, San Francisco General Hospital, California.
Pregnant psychotic women are high-risk patients who require both psychiatric and obstetric nursing expertise. Symptoms of psychosis are described, including disorganized thinking, impaired judgment, and distorted interpretations of reality. Various ways these symptoms can interfere with the labor and delivery process are discussed. Specific principles for assessment and intervention in the care of these patients are explained including the use of psychiatric consultation, medication, and psychotherapeutic interventions.
Pregnant psychotic women are high-risk patients who require both psychiatric and obstetric nursing expertise. Symptoms of psychosis are described, including disorganized thinking, impaired judgment, and distorted interpretations of reality. Various ways these symptoms can interfere with the labor and delivery process are discussed. Specific principles for assessment and intervention in the care of these patients are explained including the use of psychiatric consultation, medication, and psychotherapeutic interventions.